Challenges in non-radiographic axial spondyloarthritis - 15/01/23
Highlights |
• | Non-radiographic axial spondyloarthritis is a part of the spectrum of axial spondyloarthritis and is characterized by the absence of definite radiographic sacroiliitis. |
• | The differentiation between non-radiographic and radiographic axial spondyloarthritis is relevant for some clinical studies, but not for the daily clinical practice. |
• | In the daily practice, the diagnosis of axial spondyloarthritis including the non-radiographic form is based on a careful evaluation of positive and negative results of the diagnostic tests including imaging. |
• | The objective confirmation of inflammatory affection of the axial skeleton increases the confidence of the diagnosis of axial spondyloarthritis and the probability of good treatment response. |
Abstract |
Non-radiographic axial spondyloarthritis (nr-axSpA) is part of the spectrum or continuum of axSpA and is characterized by the absence of definite structural damage in the sacroiliac joints. The introduction of the concept of axSpA with two – non-radiographic and radiographic – stages stimulated activities related to the improvement of early diagnosis and treatment of this disease, but also opened a number of controversial topics in the field. In this article, we are discussing several challenges related to the concept of nr-axSpA, the diagnosis, and the treatment in the historical context and in the light of the recent data.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Axial spondyloarthritis, Non-radiographic axial spondyloarthritis, Ankylosing spondylitis, Diagnosis, Treatment, Imaging, MRI
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Vol 90 - N° 1
Articolo 105468- gennaio 2023 Ritorno al numero
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